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Ambulatory Coder III, Ortho
Prisma Health. Responsible for abstracting and validating CPT, ICD-10 and HCPCS codes for inpatient, outpatient and physician's office/clinic settings.
About the role
Key responsibilities & impact- Responsible for abstracting and validating CPT, ICD-10 and HCPCS codes for inpatient, outpatient and physician's office/clinic settings.
- Adheres to all coding and compliance guidelines.
- Maintains knowledge of coding/billing updates and payer specific coding guidelines.
- Serves as a subject matter expert for assigned specialty.
- Abstracts/codes for assigned provider(s)/division(s) based on medical record documentation.
- Utilizes appropriate coding software and coding resources in order to determine correct codes.
- Communicates billing related issues to assigned supervisor/manager and participates in meetings in order to improve overall billing, when applicable.
- Follows departmental policies for charge corrections.
- Participates in coding educational opportunities (webinars, in house training, etc.).
- Provides feedback to providers in order to clarify and resolve coding concerns.
- Resolves assigned pre-billing edits.
- Assists in identifying areas that require additional training.
- Mentors and assists in training other coders and new team members
- Performs other duties as assigned.
Requirements
What you’ll need- High School diploma or equivalent or post-high school diploma / highest degree earned.
- Associate degree preferred
- Five (5) years professional fee coding experience
- Certified Professional Coder (CPC)
- Specialty Certification from AAPC that correlates with assigned specialty
- Maintain knowledge of governmental and commercial payer guidelines.
- Knowledge of office equipment (fax/copier)
- Proficient computer skills including word processing, spreadsheets, database
- Data entry skills
- Mathematical skills
Benefits
Comp & perks- Inspire health.
- Serve with compassion.
- Be the difference.
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
CPT codingICD-10 codingHCPCS codingfee codingdata entrymathematical skills
Soft Skills
communicationmentoringproblem-solving
Certifications
Certified Professional Coder (CPC)Specialty Certification from AAPC